EXCELLENT MEDICAL TRANSPORT (NPI# 1609401355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609401355 |
| Entity Type | Organization |
| Organization Name | EXCELLENT MEDICAL TRANSPORT |
| Other Organization Name | EXCELLENT MEDICAL TRANSPORT |
| Practice Address |
4378 Sentry Dr Tucker GA 30084 |
| Mailing Address |
211 Three Oaks Dr Lawrenceville GA 30046-6478 |
| Practice Telephone | 9172075005 |
| Mailing Telephone | 9172075005 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | FRANTZ EXCELLENT (OWNER) |
| Authorized Official Telephone | 9172075005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Excellent Medical Transport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428743 | Excellent Medical Transport | Non-emergency Medical Transport (VAN) | 3408 Santa Barbara Blvd, Cape Coral, FL 33914-5090 | 2020-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EXCELLENT MEDICAL TRANSPORTATION LLC | 593 W Broad St, Apt # 184, Rochester, Ny 14608 |
| Street Address |
4378 SENTRY DR |
| City | TUCKER |
| State | GA |
| Zip Code | 30084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| 1396114674 | Ashley Carrigan | Behavioral Analyst | 3786 Lavista Road, Suite 104, Tucker, GA 30084 | 2015-09-17 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018246 | Ambu-link LLC | Ambulance | 2088 Idlewood Rd Ste 5, Tucker, GA 30084-6264 | 2017-01-05 |
| 1871576793 | Lifestar Response of Alabama | Ambulance | 4745 Hugh Howell Rd., Tucker, GA 30085-5007 | 2005-11-23 |
| 1942583356 | Care Plus Emergency Medical Services LLC | Ambulance | 2183 Northlake Pkwy, Suite 102, Tucker, GA 30084-4108 | 2011-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487254660 | South Ga Ambulance LLC | Ambulance | 855 W Golden Isles Hwy, Mc Rae Helena, GA 31037-3914 | 2020-10-28 |
| 1013521491 | Hla Ambulance LLC | Ambulance | 43 Amanda Ln, Palmetto, GA 30268 | 2020-09-03 |
| 1508479502 | Alliance Transportation Services | Ambulance | 247 Carlyle Park Dr Ne, Atlanta, GA 30307-2883 | 2020-08-28 |
| 1942812714 | Sagrada Ambulance LLC | Ambulance | 300 W I Pkwy # 203, Dallas, GA 30132-5079 | 2020-08-21 |
| 1689286866 | Med-trak LLC | Ambulance | 2395 Wall St Se Ste 195, Conyers, GA 30013-6703 | 2020-08-19 |
| 1952929523 | Hope Medical Transport Services | Ambulance | 101 Park 42 Dr Ste F, Locust Grove, GA 30248-2559 | 2020-07-10 |
| 1750908372 | 1st Class Ambulance | Ambulance | 5515 Riverdale Rd Ste B, College Park, GA 30349-6449 | 2020-06-30 |
| 1518588250 | B and D Medical Transportation | Ambulance | 8687 Hospital Dr Ste 104, Douglasville, GA 30134-5615 | 2020-05-05 |
| 1043831241 | Health Investment Group Inc | Ambulance | 1331 Wynnton Ct, Columbus, GA 31906-2140 | 2020-04-29 |
| 1760002653 | Express Medical Transportation | Ambulance | 7350 Hwy 106 South, Ste C, Hull, GA 30646 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.